Individual provider Active NPI

Cyrus Shabrang, M.D.

  • Vascular & Interventional Radiology Physician
  • Oceanside, CA
National Provider Identifier
1487917621
Registry record updated May 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A153042 Issued in CA
Practice address
4002 Vista Way
Oceanside, CA 92056
Phone
(760) 940-4055
Fax
(760) 940-4084
NPI assigned
Jun 22, 2012
Last updated
May 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301100774 MI
Vascular & Interventional Radiology Physician 2085R0204X PG183127 OR
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X A153042 CA Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056

Mailing address

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 940-4055

Other practice location 1

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (760) 940-4055

Other practice location 2

15615 Pomerado Rd
Poway, CA 92064-2460
Phone (760) 940-4055

Other practice location 3

3181 SW Sam Jackson Park Rd # L-605
Portland, OR 97239-3011
Phone (503) 494-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813003124 CA Practitioner - Diagnostic Radiology 8224302310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Radiology Associates IncGroup PAC ID 0840630208, 16 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

1955 Citracado Pkwy
Suite 100
Escondido, CA 92029-4111
Phone (760) 940-4055

8214 Waverly LN
San Diego, CA 92129-4700
Phone (858) 658-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
73.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
35.17 of 100Reported as group
Quality
0
Improvement activities
20
Cost
77.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301100774MIMDDiagnostic Radiology Physician
A153042CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
North County Radiology Associates Inc Multi-Specialty CurrentSince Feb 12, 2024 Accepting new patients
IHS Radiology Medical Group, Inc. Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Palomar Health Multi-Specialty Past Accepting new patients
Physicians Radiology Medical Group, Inc. Multi-Specialty Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Multi-Specialty Past Accepting new patients

Locations

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

1955 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (760) 743-3873

2130 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (858) 485-1111

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500

3909 Waring Rd
Ste C
Oceanside, CA 92056
Phone (760) 630-0014

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1487917621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-940-4055",
            "fax_number": "760-940-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-940-4055",
            "fax_number": "760-940-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Citracado Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920294159",
            "country_code": "US",
            "telephone_number": "760-940-4055",
            "fax_number": "760-940-4084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15615 Pomerado Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642460",
            "country_code": "US",
            "telephone_number": "760-940-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd # L-605",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7660",
            "fax_number": "503-494-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABRANG",
        "first_name": "CYRUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301100774",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "PG183127",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A153042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.